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Hexaminolevulinate Photodynamic Therapy (HAL-PDT) With Deferred Surgery Versus Surgery for High-grade Squamous Intraepithelial Lesions (HSIL)
Sponsor: Sun Yat-Sen Memorial Hospital of Sun Yat-Sen University
Summary
High-grade squamous intraepithelial lesions (HSIL), encompassing cervical intraepithelial neoplasia grade 2 (CIN2) with p16 positivity and grade 3 (CIN3), are precancerous conditions that require effective intervention. This Phase II study aims to comprehensively evaluate the efficacy, safety, and impact on quality of life of hexaminolevulinate photodynamic therapy (HAL-PDT) with deferred surgery compared to immediate surgical treatment in subjects with HSIL. This is a prospective, open-label, randomized, controlled, non-inferiority trial. A total of 230 subjects are planned to be enrolled, with 115 subjects allocated to each treatment group (HAL-PDT with Deferred Surgery or Immediate Surgery ). The primary endpoint is the pathological regression rate at 12 months, defined as histological findings of normal tissue or low-grade squamous intraepithelial lesions (LSIL) via colposcopy-directed biopsy. Key secondary endpoints include Human Papillomavirus (HPV) clearance rates at 6 and 12 months, pathological regression rate at 6 months, quality of life assessed by the EORTC QLQ-CX24 questionnaire, safety profiles (incidence, severity, and duration of AEs and SAEs, as well as their relationship to the study treatments), and the proportion of subjects developing cervical cancer within 12 months.
Official title: A Prospective, Open-label, Randomized, Controlled, Non-inferiority Phase II Study Comparing HAL-PDT With Deferred Surgery Versus Immediate Surgery in Subjects With High-grade Squamous Intraepithelial Lesions (HSIL)
Key Details
Gender
FEMALE
Age Range
18 Days - Any
Study Type
INTERVENTIONAL
Enrollment
230
Start Date
2026-07-01
Completion Date
2029-06-16
Last Updated
2026-07-09
Healthy Volunteers
No
Interventions
Loop Electrosurgical Excision Procedure (LEEP) or Cold Knife Conization (CKC)
Subjects undergo immediate surgical excision of the cervical lesion via either Loop Electrosurgical Excision Procedure (LEEP) or Cold Knife Conization (CKC), as determined by the investigator based on the subject's individual lesion characteristics, size, and clinical presentation, following standard institutional surgical protocols.
HAL 5% with illumination
HAL-PDT is a drug-device combination product. The drug is hexaminolevulinate hydrochloride (HAL) 5% ointment. The device is a single-use cervical light delivery device (CL7) with integrated red LEDs. The ointment is applied into the device cup, placed against the cervix for 5 hours of drug absorption, then automatically delivers 125 J/cm² photodynamic therapy for 4 hours and 36 minutes. Total in-situ time is 11-24 hours. Patients remove the device themselves. Treatment regimen: one session every 2 weeks for a total of 6 sessions (Q2W × 6).
Locations (28)
Fujian Medical University Union Hospital
Fuzhou, Fujian, China
The First Affiliated Hospital of Fujian Medical University
Fuzhou, Fujian, China
Xiamen Maternity and Child Healthcare Hospital
Xiamen, Fujian, China
he First Affiliated Hospital of Xiamen University
Xiamen, Fujian, China
The First People's Hospital of Foshan
Foshan, Guangdong, China
Foshan Shunde Maternal and Child Health Hospital
Foshan, Guangdong, China
Guangdong Women and Children Hospital
Guangzhou, Guangdong, China
The Affiliated Cancer Hospital of Guangzhou Medical University
Guangzhou, Guangdong, China
Guangdong ProvincialHospital of Chinese Medicine
Guangzhou, Guangdong, China
Guangzhou First People's Hospital (The Second Affiliated Hospital of South China University of Technology)
Guangzhou, Guangdong, China
Zhujiang Hospital, Southern Medical University
Guangzhou, Guangdong, China
Guangdong Second Provincial GeneralHospital (Guangdong Provincial Emergency Hospital)
Guangzhou, Guangdong, China
The First AffiliatedHospital, Guangzhou University ofTraditional Chinese Medicine
Guangzhou, Guangdong, China
Guangzhou Women and Children's Medical Center (The Affiliated Women and Children's Medical Center of Guangzhou Medical University)
Guangzhou, Guangdong, China
Panyu Central Hospital Affiliated to Guangzhou Medical University
Guangzhou, Guangdong, China
Shenzhen Maternity and Child Health Hospital
Shenzhen, Guangdong, China
Peking University Shenzhen Hospital
Shenzhen, Guangdong, China
The First Affiliated Hospital, Sun Yat-sen University
Zhongshan, Guangdong, China
Guangxi Zhuang Autonomous Region Maternal and Child Health Hospital
Nanning, Guangxi, China
The First Affiliated Hospital of Guangxi Medical University
Nanning, Guangxi, China
Dongguan Maternal and Child Health Care Hosptial
Dongguan, Guangzhou, China
The First Affiliated Hospital of Zhengzhou University
Zhengzhou, Henan, China
The First Affiliated Hospital with Nanjing Medical University (Jiangsu Provincial People's Hospital)
Nanjing, Jiangsu, China
The First Hospital of Jilin University
Changchun, Jinlin, China
The General Hospital of Northern Theater Command of the Chinese People's Liberation Army
Shenyang, Liaoning, China
Shanxi Provincial People's Hospital
Taiyuan, Shanxi, China
The West China Second University Hospital of Sichuan University
Chengdu, Sichuan, China
Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital)
Hangzhou, Zhejiang, China